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Home My WebLink AboutPermit Electrical 2009-12-8 S~~I;G:~L~O . ; s!!~s>( &Yr; ,. ,..~.,,,, .;;;r- - ,"" " OREGON City 01 Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenler@ci.springfieId.or.us o New Construction [Xl Addition/alteration/replacement IZJ '': ,', -:,'''YCA''TEG'''O' RY,' OT_CONS,Tifuc-tiON',' 4~:r.;.~," ~ ,."-::,i";''?'l .,'..,,'.c>.~" _...."'-.f'c...._.1't...._._._.....___. '.. _'_'~".."_",~"":#~,",,, .$;.",; 1 or 2 family dwelling D Multi-family 0 Commercial D Accessory ':',.!;':i6B:SiTEiINFORMAYfONAND_l:O.CA'l'ION ~r; ;',;r,~::-'"YlsJ Job Address: 2725 C 5T CityfState/ZIP: SPRINGFIELD,OR 97477 Suitelbldg.lapt.no. : Project' Name: tirrill Cross Street/directions to job site: Tax map/parcel no.: 1703361421800 electrical repair due to fire ~ " 1': I Name: tom cerulli I Phone: 541-210-0327 I Email: Fax: 541-582-8023 Elee lie. no.: 15-223C 102113 CCB lie. no.: , Business Name: HY TECH ELECTRIC INC Contact: Address: PO BOX 615 City/State/ZIP: ROGUE RIVER, OR 975370615 Phone: 5415822776 Fax: 5415828023 Email: lemc@hy-techelectric.com Metro lie. no.: I Supervising Electrician's lie. no.: City lie. no.: 4107S Supervising Electrician's Name: THOMAS J CERUTTI Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 \ Upon review and a~OYlII by your local jurij;dictlon, your permit will be a-mailed or faxed within one business day, with instructions on how to schedule your Inspection. NOTE: This Authorization To Begin Work expires'within 180 days if a permit is not obtained. The local building department may determine that an Authorization To. Begin Work is null and void if it does not meet applicable land use laws and local ordinances. c.q. /5r..7 Residential Electrical Authorization To Begin Work 69600-BEL-09-00272 Approval Code: 105919 12/8/2009 7:33 am E.mailed To: tomc@hy-techelectric,com Please check all that apply: o A service or feeder beginning at 400 Amps where the available fault current exceeds 10.000 Amps at 150Volls or less to ground exceeds .14,000 Amps for aU ether o Hazardous.locations o A service or feeder rated at 600 amps or more o Buildings more than three star o Marinas and boat yards D Floating buildings o Commercial-use agricultural buildings o Installation of a 150 KVA or larger seperately derived sys D "A", "E", or "1-2" or "1-3" o Recreational Vehicle Parks o Supply VOltage for more than 600 supply volts nominal ;;,' {.,\"~~,,.;,jl ,C:"'\ ~, (",,'1 o Fire pumps o Emergency systems o Additio,n of a new motor load of 1 OOHP or more o Six or mare residential units in one structure o Health care facilities I Description I Qty. IR~.s!~~~t~~(mu!1m~~~)!y~~~~e4:;~;~~r:L 11,000 sq. fl. or less 1~.19Ci~ical;'F?-~rnj!t'F:ees7~~~:f5W~J)0:'i:~t~,,;~"b~ I Subtotal I State surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE $134.00 $16.08 $6,70 $156.78 t-.~ ~ ~~. , ~.c9d \JJ~~ ;<Y \~ CJJrr..z-G04. ~ 0/50/, e NM /?r-/o6!DQ Inspections Phone, 541-726-3769 This A~thorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-01567 ISSUED: 12/07/2009 APPLIED: 10/27/2009 EXPIRES: 06/07/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2725 C ST ASSESSOR'S PARCEL NO,: 1703361421800 Springfield TYPE OF WORK: Fire Damage TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Fire Damage - Single Family Residence Owner: Address: TlRRILL DONALD H PO BOX 134 . ROGUE RIVER OR 97537 I CONTRACTOR INFORMATlO~ I Contractor Type Electrical Contractor OWNER License Expiration Date Phone BUIL~ING INFORMATION I # of Units: Primary Orfupanc)' Group: Secondary Occupancy Group: Primary Constrnction Type Secondary Constrnction Type: # of Bedrooms: # of Stories: Height of Strncture Type of Heat: ' Water Type: Range Type: Energy Path: Sprinkled Bnilding: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other; Occupant Load, n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Notes: NOTICE: IRE IF THE \NORK T\.llc; pERMIT SHA~~ I!,;,,, DI'RMIT IS NOT AUTHOP,\ZclJ U\~U~" ' NIJU'~ctJ \ 'J; I COMMENCED OR IS ABA Valuation Descriotion ANY 180 DAY PERIOD, " 'I' f' C t t' $ Per S'I Ft Square Footage YPC 0 ous rue 1011 . . .. ,or mulllpller or Bid Amount .ir."e ~nll'O O 0 egol1lCl'R' .w~ . ~. I PUBLIC IMPROVEMENT~I I C" n N: d r t d by the Oregon Utility rJllow rules a op e ose rules are set lorth , ' NOtilicat\tmGalltrO~hrOugh OAR 952-001- In OAR ~~-H&1;~l(jo!ilies 01 the rules by 0090. 'You maJ (Note' the telephone calling the center. n Utility Notiflcation IWmber tor the Ore~~0-332_2344). Center \8 1 """ ,.' Street Improvements: Storm Sewer Avaihlble: Special Instruction: DescriPtion Value Date Calculated Page 1 01'2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01567 ISSUED: 12/07/2009 APPLIED: . 10/27/2009 EXPIRES: 06/07/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 PhOl;e 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne or Project Fees Paid' Fee Description + 12% State Surcharge + 5% Technology Fee Temp Puwer 200 amps or less + 12% Slate Surcharge + 50/0 Technology Fee Residence Wiring 1000 Sq Ff Amonnt Paid Date Paid Receipt Number, $7.56 $).]5 $63,00 $16,08 $6,70 $134.00 12/4/09 1214109 12/4/09 12/8/09 12/8/09 12/8/09 32009000000000000790 32009000000000000790 32009000000000000790 3200900000000000792 3200900000000000792 3200900000000000792 Total.Amunnt Paid $230.49 Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a,m, will be made the same working day, inspections requested after 7:00 a,n!. will be made the following work day. I Re?uired Insneetions , , , 1 Temporary Electric: Approval reqnired prior to Utility Company energizing pole, Rough Electric: Prior to Cover Elect.ric Service: Approvttl required prior to utility company energizing service. Final Electric: When an electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is {rue 3lldcorrect, and I further certify that any and all work performed shaJl be done in accordance l....ith the Ordinances of the City .01' Springtieldand the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made ofany stmcture withont permission of the Community Services Division, Building Safety. I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 wit'1 be nsed on this project. I fnrther agree to ensnre that all reqnired inspections:i,;'e requested at the proper time, that'each address is readable from the street; that the permit card is located at the front of the property, and the approved set of plans will remalu on the site at an times during construction. Owner or Contractors Signature Date Page 201'2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone' " ~"~,~r\Y~~..', . . ~I' ,',' ........, "",' ~'" ," . City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3200900000000000792 Date: 12/08/2009 8:31:39AM Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount DUL> i34,00 6:70 16,08 $156,78 Job/Journal Number COM2009-0 1567 COM2009-0 1567 COM2009-0 1567 Description Residence Wiring 1000 Sq Ft + 5% Technology Fee + 12% State Surcharge Payments: Type of Payment Amount Paid ONLINE CHGS ONLINE PERMIT CHGS NJM ONLINE, HY TECH Online ELECT Payment Total: $156,78 $156.78 cReceinll Page 1 of 1 12/8/2009